Individual
JOEL HENRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
808 HOUSTON ST, QUEEN CITY, TX 75572-2378
(903) 244-7536
Mailing address
808 HOUSTON ST, QUEEN CITY, TX 75572-2378
(903) 244-7536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1105476
TX
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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